Department of Otorhinolaryngology Head and Neck Surgery, Liaocheng People's Hospital, Liaocheng, China.
Shandong First Medical University (Shandong Academy of Medical Sciences), Jinan, China.
J Int Med Res. 2022 Dec;50(12):3000605221144151. doi: 10.1177/03000605221144151.
Amyloidosis is a disease caused by amyloid deposition in tissues or organs. According to the extent of the lesion, it can be divided into systemic amyloidosis and localized amyloidosis. Amyloidosis originating in the larynx accounts for approximately 0.5% to 1.0% of benign lesions of the larynx; such lesions are relatively rare and mostly localized. Nasopharyngeal amyloidosis combined with laryngeal amyloidosis is even rarer. We herein present a case involving a patient with amyloidosis in the nasopharynx and larynx who presented with a foreign body sensation and hoarseness in the pharynx. Electronic fiber laryngoscopy revealed a smooth neoplasm in the left nasopharynx and left vocal cord. The patient underwent surgical treatment, and the postoperative pathologic examination results suggested amyloidosis. Special staining performed using Congo red and crystal violet was positive, confirming amyloidosis. The patient recovered after surgery, and no recurrence was present at the 3- and 6-month follow-ups.
淀粉样变性是一种由组织或器官中淀粉样物质沉积引起的疾病。根据病变范围,可分为系统性淀粉样变性和局限性淀粉样变性。起源于喉部的淀粉样变性占喉部良性病变的 0.5%~1.0%;此类病变较为少见,且多为局限性。鼻咽部淀粉样变性合并喉部淀粉样变性更为罕见。本文报道了 1 例鼻咽部和喉部淀粉样变性患者,该患者表现为咽部异物感和声音嘶哑。电子纤维喉镜检查显示左侧鼻咽部和左侧声带存在光滑的新生物。患者接受了手术治疗,术后病理检查结果提示淀粉样变性。刚果红和结晶紫特殊染色阳性,证实为淀粉样变性。患者术后恢复良好,随访 3 个月和 6 个月时未见复发。